Here is what can happen:
By Mary Clare Jalonick
Wealthier tribes can supplement the federal health service budget with their own dollars. But poorer tribes, often those on the most remote reservations, far away from city hospitals, are stuck with grossly substandard care. The agency itself describes a "rationed health-care system."
What Obama and Democrats are talking about is adding a public option to our private healthcare system. This is completely different, although many right-wingers are too dense to understand the difference. I trust you're smarter than they are.
In addition, the IHS seems to have problems only because it's underfunded. Not because it's inefficient or government-operated. Again, these are different problems.
A fairer comparison would be with something like the Veterans Administration, which I believe gets all the funding it needs. Does the VA run out of funds at mid-year? Do veterans complain about the substandard healthcare the VA provides? Do they stick with private options because their public option is inferior?
I suspect the answers are no, no, and no.
Here's the real story on the Indian Health Service:
IHS is the model
An expert on quality calls the IHS a prototype for reform
By Mark Trahant
First, think about the money. Health care costs are double what the amount spent in other developed countries. And for that money, Berwick says, the “American health care is not the best in the world. It’s not even close.” Indeed he calls the current health care system a “low-value” enterprise, one that strips money from both family and government budgets.
Then there is the IHS. “The Indian Health is trying to deliver the same or better care with half the funding of other systems in the United States,” he said. Spending by IHS is even less than other developed countries. Berwick said he didn’t want to underestimate the resource challenge--and he’d be the first to say IHS needs more money--but at the same time the IHS’ ability to execute is “stunning.” The very nature of the agency’s under-funding has resulted in a discipline that’s “an example for us all.”
For more on the subject, see Different Views of Medical Care and Indians Gave Settlers Remedies.
Below: One doctor who learned from Indians.
Rob said: "Fortunately, no one's talking about government-controlled healthcare."
The current name for Federally-controlled health care is "single payer" or "single-payer universal health care". Many major Democratic Party leaders in Congress favor it, and have campaigned on it or had other major pushes for it in recent years.
Major labor unions, such as the UAW and the USW support it. As well as other political pressure groups that are powerful in this country. Along with newspapers and other media organs that tend to side with Democrats on issues.
Yes, people are talking about it, and pushing for "government-controlled healthcare".
"Except for Republicans employing their usual scare tactics, that is"
And it turns out that the scare is coming from the Democrats who are pushing this option.
Government-controlled health care is a major topic of the modern day, and to think that "no one's talking about" it means you have not paid attention to current events.
"What Obama and Democrats are talking about is adding a public option to our private healthcare system. This is completely different"
It is not completely different. The "public option" is a significant expansion of the government-controlled part of health care. At this time, under Obama's current plan, it is not a monopoly (and it does not do what Canada did: ban non-government health care). But it is a major expansion of federal control. And all the while there are powerful politicians and interest groups who are pushing for a federal health-care monopoly.
Back to IHS:
"In addition, the IHS seems to have problems only because it's underfunded. Not because it's inefficient or government-operated. Again, these are different problems."
Well, this is typical of government, which is so often unaccountable (and does not have to be). They make promises concerning some system they control, and never deliver. Since they control it, there's nothing that can be done about it.
Now, who do we believe about how well the IHS serves Indians? Indians who are "served" by it and say "don't get sick after June", or a white outsider (Berwick) whose experience (though extensive) has hardly ever taken him outside the Boston area?
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